Inpatient Management of Acute Stroke of Unknown Type in Resource-Limited Settings.
Inpatient Management of Acute Stroke of Unknown Type in Resource-Limited Settings.
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DOI：
10.1161/strokeaha.121.037297
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发表时间：
2022-03
期刊：
影响因子：
8.3
通讯作者：
Vora N
中科院分区：
文献类型：
--
作者：
Prust ML;Saylor D;Zimba S;Sarfo FS;Shrestha GS;Berkowitz A;Vora N
中风是全世界死亡和残疾的第二大原因，对低收入和中等收入国家造成了不成比例的负担。高收入国家制定的基于指南的卒中护理的关键要素不适用于资源有限的环境，在这些环境中，缺乏神经影像学使临床医生无法区分缺血性卒中和颅内出血，这需要具有挑战性的临床决策，特别是在急性环境中。我们讨论了未知类型中风的急性住院治疗策略，重点是血压管理和抗血小板治疗，当神经影像学不可用时，回顾了在资源有限的医疗保健环境中成功实施卒中单元护理的一些挑战和策略。
Stroke is the second leading cause of death and disability worldwide, with a disproportionate burden on low- and middle-income countries. Critical elements of guideline-based stroke care developed in high-income countries are not applicable to resource-limited settings, where lack of access to neuroimaging prevents clinicians from distinguishing between ischemic stroke and intracranial hemorrhage, requiring challenging clinical decision-making, particularly in the acute setting. We discuss strategies for acute inpatient management of stroke of unknown type with a focus on blood pressure management and antiplatelet therapy when neuroimaging is unavailable, and review some of the challenges and strategies for successfully implementing stroke unit care in resource-limited healthcare settings.